Rerouting the drug response: Overcoming metabolic adaptation in KRAS-mutant cancers

Deborah Y Moss1, Christopher McCann1, Emma M Kerr1

  • 1Patrick G Johnston Centre for Cancer Research, Queen's University Belfast, Belfast, BT9 7AE Northern Ireland, UK.

Science Signaling
|October 18, 2022
PubMed

Insights

Mutant KRAS drives cancer metabolism, leading to treatment resistance. Targeting these metabolic changes in the tumor microenvironment offers new hope for improving survival in KRAS-driven cancers.

Area of Science:

  • Oncology
  • Cancer Metabolism
  • Molecular Biology

Background:

  • KRAS mutations are prevalent in lung, colorectal, and pancreatic cancers.
  • Constitutively active mutant KRAS promotes metabolic reprogramming in tumor cells.
  • This metabolic rewiring contributes to therapeutic resistance.

Purpose of the Study:

  • To review metabolic alterations in KRAS-driven cancers.
  • To explore how metabolism influences therapeutic response and the tumor microenvironment (TME).
  • To identify potential metabolic targets for overcoming treatment resistance.

Main Methods:

  • Literature review of metabolic pathways in KRAS-driven cancers.
  • Analysis of the interplay between KRAS signaling, metabolism, and the TME.
  • Identification of metabolic vulnerabilities and therapeutic targets.

Main Results:

  • Mutant KRAS extensively alters cellular metabolism, supporting tumor growth and survival.
  • Metabolic pathways are dynamically regulated by cancer treatments, influencing efficacy.
  • The TME significantly impacts metabolic dependencies and therapeutic outcomes in KRAS-driven cancers.

Conclusions:

  • Metabolic reprogramming is a critical hallmark of KRAS-driven cancers.
  • Targeting specific metabolic pathways presents promising strategies to enhance treatment efficacy.
  • Interventions aimed at metabolic vulnerabilities could improve patient survival in these aggressive malignancies.

Related Concept Videos

Adaptive Mechanisms in Cancer Cells02:53

Adaptive Mechanisms in Cancer Cells

Cancer cells accumulate genetic changes at an abnormally rapid rate due to the defects in the DNA repair mechanisms. From an evolutionary perspective, such genetic instability is advantageous for cancer development. Mutant cell lines accumulate a series of beneficial mutations that contribute to their progression into cancer.
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...
5.9K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.4K
mTOR Signaling and Cancer Progression03:03

mTOR Signaling and Cancer Progression

The mammalian target of rapamycin or mTOR protein was discovered in 1994 due to its direct interaction with rapamycin. The protein gets its name from a yeast homolog called TOR. The mTOR protein complex in mammalian cells plays a major role in balancing anabolic processes such as the synthesis of proteins, lipids, and nucleotides and catabolic processes, such as autophagy in response to environmental cues, such as availability of nutrients and growth factors.
The mTOR pathway or the...
3.9K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
7.8K
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
5.0K
PI3K/mTOR/AKT Signaling Pathway01:22

PI3K/mTOR/AKT Signaling Pathway

The mammalian target of rapamycin  (mTOR) is a serine/threonine kinase that regulates growth, proliferation, and cell survival in response to hormones, growth factors, or nutrient availability. This kinase exists in two structurally and functionally distinct forms: mTOR complex 1  (mTORC1) and mTOR complex 2  (mTORC2). The first form (mTORC1) is composed of a rapamycin-sensitive Raptor and proline-rich Akt substrate, PRAS40. In contrast,  mTORC2 consists of a...
3.8K